Leg Injury, College Football - Page #1
 

Author: Aaron Campbell, MD, MHS
Editor: Kathryn Ackerman, MD, MPH

Patient Presentation:
Acutely painful left quadriceps, out of proportion with exam, loss of function, and weakness

History:
21 year old previously healthy male, college football linebacker, presents with sudden onset extreme thigh pain during practice. Two weeks prior during a game, the patient sustained direct trauma to the thigh by another player’s knee, resulting in a painful contusion. Initially, he was able to walk, and over the next two weeks, his thigh remained painful, but he continued to play at full capacity during games and practice. Then, during a practice he noted increased tightness and pain to his thigh, which later progressed to extreme pain and tightness, preventing him from activity.

Physical Exam:
Moderate distress due to pain. The left thigh has marked swelling over the antero-lateral aspect, as compared to the right. It is tense, warm, and painful to touch. He is unable to perform a straight leg raise. The tibialis anterior, gastoc-soleus, and ankle extensors/flexors are intact. Distal neurovascular structures are intact throughout.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


Website created by the computer geek